Digital Commons Network^™

Factors Influencing Human Papillomavirus Vaccination Among Asian Immigrant College Students During The Covid-19 Pandemic, Shinhi Han, Hee Sun Kang, Koun Eum, Jin Young Seo, Kathleen Karsten

Publications and Research

Despite strenuous efforts to increase vaccination rates against human papillomavirus (HPV), the rate of vaccination remains low in the U.S. The COVID-19 pandemic poses an additional challenge to HPV vaccination. This study aimed to explore the factors that contribute to HPV vaccination among Asian immigrant college students, based on the Theory of Planned Behavior (TPB), with HPV vaccine literacy and HPV vaccine hesitancy as additional constructs. This cross-sectional survey used convenience sampling, with133 Asian immigrant college students from New York City as study participants. Data were collected online using self-reported measures of the following study variables: HPV vaccine literacy, attitudes, …

Mata Pencaharian Berkelanjutan Kondisi Masyarakat Adat Lekuk 50 Tumbi Dan Peran Lembaga Adat, Muhamamd Hasan Izzurrahman, Muhammad Azami Nasri

Jurnal Ilmu Kesejahteraan Sosial

Sustainable livelihoods are key for communities to sustain their lives. However, limited access to and utilisation of natural resources, particularly customary forests, has led to a decline in the livelihoods of the Lekuk 50 Tumbi indigenous community. Difficulty in clearing land is a major obstacle for them in finding alternative income. This research aims to evaluate the quality of life of the Lekuk 50 Tumbi indigenous community with a focus on indigenous institutions' initiatives based on sustainable livelihoods, considering the five aspects of capital. Through in-depth interviews and qualitative analysis, natural capital, physical capital, human capital, financial capital and social …

Mothers Get Really Exhausted!” The Lived Experience Of Pregnancy In Extreme Heat: Qualitative Findings From Kilifi, Kenya, Fiona Scorgie, Adelaide Lusambili, S. Luchters, Peter. Khaemba, Veronique Filippi, B. Nakstad, Jeremy Hess, Cathryn Birch, S. Kovats, M.F. Chersich

Institute for Human Development, East Africa

Background: Palliative care (PC) can reduce symptom distress and improve quality of life for patients and their families experiencing life-threatening illness. While the need for PC in Kenya is high, PC service delivery and research is limited. Qualitative research is needed to explore potential areas for PC research and support needed to enable that research. This insight is critical for informing a national PC research agenda and mobilizing limited resources for conducting rigorous PC research in Kenya.

Objectives: To explore perceptions of priority areas for PC research and support needed to facilitate rigorous research from the perspective of Kenyan PC …

Addressing The Opioid Crises: An Evaluation Of The Community Opioid Education Pilot Program, Gabriela Murza, Cris Meier, Lily Ward, Sydney O'Shay, Dru Faldmo

Outcomes and Impact Quarterly

Utah's opioid crisis presents unique challenges as progress was hindered by the COVID-19 pandemic. This pilot study assessed the effectiveness of a brief webinar-based professional development program aimed at improving knowledge and confidence among health and behavioral healthcare professionals. Results indicated positive changes in participants' confidence and knowledge regarding opioid treatment options, misuse, and connecting individuals to resources.

The Importance Of Cultural Competency: Improving Patient-Provider Relationships Improves Hispanic Health, Lizeth Tapia

Honors Theses

Background: Hispanics living in the U.S have poor health compared to Non-Hispanic Whites. Hispanics experience more disease, a higher likelihood of dying from chronic disease such as cancer, heart disease and unintentional injuries. Aside from prevention knowledge and access to healthcare, another factor that can affect Hispanic health is the patient-provider relationships. More specifically, culturally competent healthcare providers are more likely to have better communication and interactions with their patients as they understand their culture and can apply it into the healthcare setting. Therefore, cultural competency is key to improving health outcomes among Hispanic patients and an important skill to …

Analyzing African American College Student Willingness To Participate In Clinical Trials, Caitlin B. Ulmer

Senior Theses

Previous studies regarding African American participation in clinical trials have found that African Americans participate at a significantly lower rate than other ethnic/racial groups. Scholars argue that this lack of participation in clinical trials is a direct result of historical trauma linked to unethical experiments and African American distrust in the healthcare system. However, there is a gap in the literature because these studies focus on African American individuals above the age of 30. This study aimed to fill the gap by examining clinical trial participation among African American college students within the ages 18 to 23. This study also …

Application Of The Social Determinants Of Health To Geriatric Patients By Nurse Practitioner Students, Theresa Marie Gruenke Schnable

Dissertations (1934 -)

ABSTRACT APPLICATION OF THE SOCIAL DETERMINANTS OF HEALTH TO GERIATRIC PATIENTS BY NURSE PRACTITIONER STUDENTS Patient outcomes are influenced by the social determinants of health (SDOH), which influence differing exposures to opportunities or health risks. Holistic care of geriatric patients includes considering SDOH in patient assessment, diagnosis, and care delivery. Understanding how NP students care for geriatric patients using a SDOH lens provides insight into their practice behaviors and helps educators understand how to strengthen NP programs to achieve better patient outcomes and advance health equity for the geriatric population. The purpose of this study was to describe how NP …

Pelaksanaan Tanggung Jawab Sosial Perusahaan Melalui Program Pemulihan Mata Pencaharian Oleh Lembaga X, Muhammad Hanif Ridho, Mochammad Rizqy Maulana, Muhamad Azami Nasri

Jurnal Ilmu Kesejahteraan Sosial

This study examines the implementation of corporate social responsibility through the Livelihood Restoration Program (LRP) by Institution X. The study employs a qualitative approach with descriptive research methodology. Data collection techniques include in-depth interviews and literature review. The study is motivated by land acquisition conducted by PT Y, which affected the livelihoods of the local community. Consequently, PT Y initiated livelihood restoration for the affected community through the LRP managed by Institution X. The findings indicate that Institution X has two primary roles: providing consultancy services and facilitating the implementation of the LRP. First, as a consultancy agency, Institution X …

Program Penanganan Fakir Miskin Di Desa Mulyasari Kota Banjar Provinsi Jawa Barat, Aep Rusmana, Eri Susanto, Muhammad Rai Jemadila, Nabila Aulia Putri

Jurnal Ilmu Kesejahteraan Sosial

Poverty is a condition where a person cannot fulfill their basic needs to achieve a more dignified life. This research aims to explain the program for handling the poor in Mulyasari Village which is directed at three things, namely: 1) managing social problems, 2) mechanisms for meeting needs, and 3) providing opportunities for advancement for the poor. The method used in this research is a descriptive qualitative method with a phenomenological tradition. Determining the research sample used purposive sampling technique. There were 6 research informants consisting of Mulyasari Village officials, poor families who received social welfare services, and Community Social …

Keterlibatan Serikat Pekerja Dalam Perubahan Kebijakan Pengupahan Melalui Advokasii Sosial, Zeni Tri Lestari, Arif Wibowo

Jurnal Ilmu Kesejahteraan Sosial

This research is about the involvement of trade unions in changing wage policies through social advocacy from the social welfare perspective. The urgency of conducting this research is to reveal how KASBI's involvement as a worker's union encourages changes in wage policies to ensure better labor welfare through advocacy against the Job Creation Law and advocacy against Minister of Manpower Regulation Number 2 of 2022. This research uses a descriptive qualitative method. Data were collected from February to June 2023 through online and offline interviews involving three informants selected by the purposive sampling technique. The research results reveal that KASBI …

Pengembangan Sistem Informasi Desa Dalam Upaya Penanggulangan Kemiskinan Di Desa Rarang Selatan, Meita Annisa, Bambang Shergi Laksmono

Jurnal Ilmu Kesejahteraan Sosial

Indonesia continues to face challenges in poverty alleviation, with extreme poverty still prevalent in the country. Despite having a social protection system aimed at reducing poverty and cushioning the poor and vulnerable from crises, its implementation often encounters difficulties, particularly in obtaining valid and verified data sources. This study explores how the development of the Village Information System (SID) can contribute to poverty alleviation in Rarang Selatan Village, West Nusa Tenggara Province (NTB). When SID was introduced in 2016, Rarang Selatan was a newly established village classified as underdeveloped. By 2022, the village had progressed to the category of an …

Shsp Dean's Newsletter, Fall 2023, Robert W. Amler

SHSP Dean’s Newsletter

No abstract provided.

Virtual Education Implementation For Children With Autism Spectrum Disorders Amidst The Covid-19 Pandemic, Monika Sinha-Bhamra

Doctor of Philosophy in Translational Health Sciences Dissertations

Background: The COVID-19 pandemic led to widespread school closures in the Washington DC metropolitan region, necessitating a shift from traditional in-person education to virtual platforms. The context was significantly influenced by the evolving pandemic and its impact on the region's COVID-19 positive rates, with the Washington DC region facing some of the highest positive rates in 2020. These escalating positive rates posed substantial challenges to planning and implementing in-person learning, primarily driven by concerns for public health and safety. The region's persistently low percentages of in-person learning made it one of the worst in the country regarding the provision of …

Racial/Ethnic Group Differences In Older Adults' Involvement With Adult Protective Services, Kenneth J Steinman, Jason Burnett, Rebecca Hoffman

Faculty, Staff and Student Publications

This paper represents the first study to focus on quantifying racial/ethnic group differences in older adults' involvement with adult protective services (APS).  Across 3 independent county programs, the rate of APS reports was about twice as high for Black older adults compared to White older adults.  These differences were greater for clients who were older and male but remained similar across allegation type.  The percent of reports validated was slightly but consistently lower for Black clients than for White clients, and a lower percentage of Black clients' cases were closed due to investigation or service refusal. Findings for Hispanic clients …

The Impact Of Mandatory Substance Abuse Counselor Reporting Requirements On Child Maltreatment Reporting Outcomes, Bilgé Özgé Yilmaz

Psychology Theses & Dissertations

The present study sought to examine how state-level mandatory reporting policies are associated with child maltreatment reporting through analysis of the National Data Archive on Child Abuse and Neglect (NDACAN, 2021). This study aimed: 1) to examine how the implementation of substance abuse counselor reporting requirements is associated with the reporting process, including the disposition of reports and the presence of substance abuse; and 2) to examine differences in the above outcomes based on associations between non-specific reporting requirements and specific requirements that mention substance use counselors. A quasi-experimental approach with repeated cross-sectional data was utilized, as it is a …

The Pre-Adaptation Of A Stroke-Specific Self-Management Program Among Older Adults, Timothy Reistetter, Kimberly Hreha, Julianna M Dean, Monique R Pappadis, Rachel R Deer, Chih-Ying Li, Ickpyo Hong, Annalisa Na, Sara Nowakowski, Hashem M Shaltoni, Suresh K Bhavnani

Faculty, Staff and Students Publications

Objectives:

Managing multimorbidity as aging stroke patients is complex; standard self-management programs necessitate adaptations. We used visual analytics to examine complex relationships among aging stroke survivors’ comorbidities. These findings informed pre-adaptation of a component of the Chronic Disease Self-Management Program.

Methods:

Secondary analysis of 2013–2014 Medicare claims with stroke as an index condition, hospital readmission within 90 days (n=42,938), and 72 comorbidities. Visual analytics identified patient subgroups and co-occurring comorbidities. Guided by the framework for reporting adaptations and modifications to evidence-based interventions (FRAME), an interdisciplinary team developed vignettes that highlighted multimorbidity to customize the self-management program.

Results:

There were five …

A Trauma-Informed Mentoring Framework For Forensic Nurses: An Overview Of Steerr—Structure, Process, And Evaluation, Sarah J. Hoffman, Tara Dillon, Kaylen M. Moore, Ellen A. Frerich, Carolyn M. Porta

College of Nursing Faculty Research and Publications

The STEERR Mentoring Framework, grounded in decolonized and feminist mentorship approaches, integrates foundational principles of mentoring with the unique and complex characteristics of the role of the forensic nurse. The primary objective of the program is to support a competent, sustainable, and resilient forensic nursing workforce. In this article, we describe the development process, framework structure, and evaluation approach implemented within a 1-year pilot initiative focused on forensic nurses in the sexual assault nurse examiner role. We reflect on strategies for broader application and replication in forensic nursing programs across the United States.

Predictors And Moderators Of Treatment Outcomes For Anxious Children Randomized To Computer-Assisted Cognitive Behavioral Therapy Or Standard Community Care, Orri Smárason, Andrew G Guzick, Wayne K Goodman, Alison Salloum, Eric A Storch

Faculty, Staff and Students Publications

Introduction:

Computer-assisted cognitive behavioral therapy (CCBT) for childhood anxiety disorders may aid the dissemination of CBT, while maintaining treatment fidelity. Although CCBT is an effective intervention, not everyone benefits equally from treatment. Identifying patient characteristics that predict who will benefit from treatment and to what extent can help with matching patients to suitable interventions, and allow researchers and clinicians to modify, and individualize, their treatment formats more effectively. Such predictors and moderators have not yet been examined for CCBT outcomes in anxious children and studies of more traditional treatment formats have yielded inconsistent results.

Methods:

Using data from a randomized …

Recent Economic Intimate Partner Violence And Posttraumatic Stress Symptoms Among A Racially And Ethnically Diverse Sample Of U.S. Women Experiencing Intimate Partner Violence, Tiara C. Willie, Kamila A. Alexander, Laurel Sharpless, Jessica L. Zemlak, Megan V. Smith, Trace S. Kershaw

College of Nursing Faculty Research and Publications

Posttraumatic stress disorder (PTSD) is a prevalent consequence of physical and sexual intimate partner violence (IPV); however, little is known about the unique contributions of economic IPV. Furthermore, women’s economic self-sufficiency may explicate the potential relationship between economic IPV and PTSD symptoms. Guided by the Stress Process Theory and Intersectionality, this study examined associations between economic IPV and women’s PTSD symptoms and assessed economic self-sufficiency as a mediator. Participants were 255 adult women experiencing IPV recruited from metropolitan Baltimore, MD, and the state of CT who participated in two different studies. Participants completed surveys on IPV, economic self-sufficiency, and PTSD. …

Counselors’ Stigma Toward Addictions: Increasing Awareness And Decreasing Stigma, Natalie M. Ricciutti

Journal of Counselor Preparation and Supervision

The purpose of this study was to explore licensed counselors’ level of stigma toward individuals with substance use disorders (SUDs) and process/behavioral addictions (PBAs) and note any differences. A total of 138 licensed mental health counselors from one Midwestern state completed the SRTSS and the BRTSS to determine levels of stigma toward SUDs and PBAs, respectively. Participant scores from the SRTSS and BRTSS were normally distributed, and 15% to 32% of participants’ scores were reflective of stigma toward individuals with either SUDs or PBAs. A significant difference was not found between participants’ stigma toward individuals with SUDs or PBAs. Hypotheses …

Mind, Body And Race: A Look Into How Implicit Biases Influence The Perception Of Emotion, Faiza Ahmad, Adam Anderson, James Dalton Rounds, Christina Chick, Alize Hill

Research Symposium

Background: Most research examining the effects of implicit race-based biases in emotion perception has focused on the perception of Black faces as being angry. Limited work has been done examining the perception of “approach” emotions such as fear. Furthermore, most studies have predominantly used White subjects. Our study examined the role of implicit racial biases in shaping the perception of both anger and fear in White, Black and Asian participants.

Methods: 78 participants completed a Go/NoGo task in which they were asked to categorize different race faces as portraying either anger or fear. Participants would be asked to press the …

Learners Engaging With Hispanic Communities To Address Covid19 Inequities By Developing A Cultural Competence Guide For Public Health Messaging, Madeline Elaine Huff, Molly Chapman, Chasity Collier, Giuiseppe Fonseca Badillo, Shuchita Jhaveri, Ayesha Khan, Sabrina R. Orta, Zuni Ortega, Lina Pedraza Sanchez, Maria Pesantez Borja, Rosalind Reyes, Daniela Santos Cantu, Chelsea H. Chang

Research Symposium

Introduction: The Rio Grande Valley (RGV) has the highest rates of obesity and diabetes nationwide which have compounded the impact of COVID-19. We propose addressing underlying mistrust and systemic racism through a resident-and-student-learner-led, community-engaged, educational public health campaign targeting the Hispanic community in the RGV.

Methods: Twelve students were provided interdisciplinary leadership skills in a community-engaged public messaging campaign covering issues of COVID-19 inequities. Learners used these skills to engage with clinic community partners in qualitative interviews regarding the patient population to guide the creation of a culturally competent public health messaging rubric for the Hispanic community.

Results: Pre-intervention survey …

Higher Stress During Admission Predicts Shorter Treatment Retention In Residential Treatment, Orrin D. Ware

Research Symposium

Background: Over one million people in the United States received residential treatment for a substance use disorder (SUD) in 2020. Shorter treatment retention is associated with adverse outcomes compared to individuals retained in treatment longer. Entering treatment with higher stress may be associated with leaving prematurely. This study aims to examine the impact of perceived stress during admission on treatment retention in a short-term residential treatment facility.

Methods: This study used de-identified data of 357 treatment episodes of adults entering a short-term (28-day) urban Mid-Atlantic residential facility between October 2019 through February 2020. The dataset included demographic characteristics, substance use …

Interdisciplinary Integrated Primary And Behavioral Healthcare (I2pbh) Initiative, John Ronnau, Deepu George, Maria Hernandez, Evan Garcia, Myrna Ruiz

Research Symposium

Purpose: The Interdisciplinary Integrated Primary and Behavioral Healthcare (I²PBH) initiative will train University of Texas Rio Grande Valley (UTRGV) mental health graduates to deliver high quality, evidence-based Integrated Behavioral Health (IBH) services in the Rio Grande Valley (RGV) – a high-need, high-demand, medically underserved Hispanic region along the US-Mexico border. Specifically, the I²PBH initiative will train 24 UTRGV mental health graduates annually to deliver high-quality Integrated Behavioral Health (IBH) clinical services through the evidence based Primary Care Behavioral Health (PCBH) model. With a training emphasis on basic/advanced theory and clinical skills in the PCBH model, students …

Comparing Stroke Symptom Recognition And Intervention Times In The Rio Grande Valley, Joshua M. Ninan, Kelsey Baker

Research Symposium

This is a retrospective study that aims to evaluate the duration from onset of stroke-like symptoms to presentation to medical facilities for aid in the Rio Grande Valley. The main goal of the study is to understand the extent of pre-hospital delays with regards to the treatment of stroke in the RGV.

Representation Of Racial And Ethnic Minorities And Their Preferences For Mood Stabilizing Treatment Selection For Bipolar Disorder: A Systematic Review, Francisco J. Barrera, Manuel Gardea, Juan Garzon, Ryan Toledo, Ana Paula Bonner, Andrea Maraboto, Mark Frye, Ihsan Salloum

Research Symposium

Background: The use of second-generation antipsychotics for bipolar disorder (BD) has increased in the past years¹Concerns on potential serious medical side effects and need for blood level monitoring of some traditional mood stabilizers along with other factors have influenced this change. Shared decision-making (SDM) strategies have been implemented in clinical settings due to their ability to engage patients in the process of treatment selection.² Within minority groups with mental illnesses, socioeconomic factors, individual concerns, and cultural variations in clinical presentations, are often overlooked or misrepresented when assessing the patient’s treatment preferences. Although several studies evaluating the …

Mixed Method Approach Towards The Life Of University Students During The Covid-19 Pandemic, Raihan Khan, Andrew White, Tony Jehi

Department of Health Sciences - Faculty Scholarship

Background

The COVID-19 pandemic negatively impacted the higher education system. This mixed-methods study aimed to assess COVID-19 fear, anxiety, and stress among Shenandoah Valley college students.

Methods

An online survey was fielded and completed by n=680 students. Qualitative semi-structured interviews were conducted with 20 students.

Results

The mean participant age was 22.14±5.48 years, and primarily White (81.9%), women (80.4%), and undergraduate (78.0%) students. Approximately 41% were enrolled in health-related majors (41.4%). Women students had significantly higher anxiety, depression, and fear of contracting COVID-19 than men. Undergraduate students had significantly higher depression than graduate students. Qualitative analysis revealed several major themes: …

Student Perceptions Of Reading Preparation And Textbook Use In Professional Allied Health Programs, Laura Stimler, Camille Skubik-Peplaski, Melba G. Custer, Shirley P. O'Brien

Internet Journal of Allied Health Sciences and Practice

Purpose: In professional allied health education, textbooks are central to developing course content, student learning and certification exams, but little is known about the graduate student’s perspective. This study was intended to describe current trends in graduate students’ point of view, habits and opinions related to buying and using textbooks and other resources in allied health education. Methods: This was a multi-site collaborative research project. An electronic survey was developed to gather data on student habits and perspectives regarding textbook preferences including digital texts, academic reading, exam preparation, and obtaining course materials. The survey was distributed across four academic institutions. …

Cumulative Incidence Of Physical And Sexual Dating Violence: Insights From A Long-Term Longitudinal Study, Jeff R Temple, Elizabeth Baumler, Leila Wood, Kelli Sargent Franco, Melissa Peskin, Christie Shumate

Faculty, Staff and Student Publications

Decades of inquiry on intimate partner violence show consistent results: violence is woefully common and psychologically and economically costly. Policy to prevent and effectively intervene upon such violence hinges upon comprehensive understanding of this phenomenon at a population level. The current study prospectively estimates the cumulative incidence of sexual and physical dating violence (DV) victimization/perpetration over a 12-year timeframe (2010–2021) using diverse participants assessed annually from age 15 to 26. Data are from Waves 1–13 of an ongoing longitudinal study. Since 2010 (except for 2018 and 2019), participants were assessed on past-year physical and sexual DV victimization and perpetration. Participants …

Clinical Practice Panel: Improvements In Pediatric Food Insecurity Screening; A Qi Project To Increase Pediatric Food Insecurity Screening, Casey Katzman, Brandy Rachel Frye, Hsiang-Fen Su

2023 South Division Nursing Research Conference

No abstract provided.